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KELLY ANNE ELLISON
NPI 1265823843
Nurse Practitioner - Family in Weatherford, TX

Active since February 18, 2015PECOS EnrolledAccepts Medicare Assignment
1980 S MAIN ST, WEATHERFORD, TX 76086(817) 598-5616 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2025, Oct 9, 2023, May 11, 2023 and 1 more (4 updates tracked since 2023).

About Kelly Anne Ellison NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANNE ELLISON (NPI 1265823843) is an individual family provider in Weatherford, Texas, licensed in Texas (AP127337) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Southlake, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265823843
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY ANNE ELLISON
Location Address1980 S MAIN STWeatherford, TX 76086-5508
Mailing Address125 Davis BlvdSouthlake, TX 76092-8209 · (682) 212-9104
Phone(817) 598-5616
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 18, 2015
Last NPPES UpdateAugust 7, 20254 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1265823843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP127337
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP127337 (TX)
1980 S MAIN ST, Weatherford, TX 76086
Open in Google Maps ↗

Secondary Practice Location 1

Location 1125 Davis BlvdSouthlake, TX 76092-8209 · Phone (682) 212-9104

Other Identifiers 2

MedicaidPENDINGTX
OtherPENDINGTX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Anne Ellison is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971821356
PECOS Enrollment IDI20150415000732
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
126 services126 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services76 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
34 services34 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
31 services30 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services24 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEXAS HEALTH URGENT CARE
Clinic/Center (Urgent Care)
1980 S MAIN ST
WEATHERFORD, TX 76086
Parker County (817) 598-5616
MS. BREANN LASHAE ORR APRN, FNP-C
Nurse Practitioner (Family)
1980 S MAIN ST
WEATHERFORD, TX 76086
Parker County (817) 598-5616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Ellison's NPI number?

The NPI number for Kelly Ellison is 1265823843. It was assigned to this individual provider in the NPPES registry on February 18, 2015.

Where is Kelly Ellison located?

Kelly Ellison practices at 1980 S Main St, Weatherford, TX 76086. The listed phone number is (817) 598-5616.

What is Kelly Ellison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Ellison enrolled in Medicare?

Yes. Kelly Ellison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Ellison accept?

Health plans from Blue Cross and Blue Shield of Texas list Kelly Ellison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Ellison was last updated on August 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.